COFFMAN NURSING HOME, INC. (NPI# 1477888469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477888469 |
| Entity Type | Organization |
| Organization Name | COFFMAN NURSING HOME, INC. |
| Practice Address |
1304 Pennsylvania Ave Hagerstown MD 21742-3108 |
| Practice Telephone | 3017332914 |
| Practice Fax Number | 3017332078 |
| Mailing Telephone | 3017332914 |
| Mailing Fax Number | 3017332078 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2010-03-19 |
| Authorized Official Name | MRS. SHELLIE HOFFMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3017332914 |
| Authorized Official Credential | M.S., NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 21-004 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 417162400 | 05 |
| Street Address |
1304 PENNSYLVANIA AVE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186695 | Coffman Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3198 | 2006-08-02 |
| 1952874091 | Sandra Lee Law | Physical Therapy Assistant | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2019-01-10 |
| 1871066522 | Amanda Gsell | Occupational Therapy Assistant | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2019-01-05 |
| 1013489020 | Jennifer Mills | Physical Therapy Assistant | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2019-01-02 |
| 1962974063 | Leah Renee Traver | Physical Therapy Assistant | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2018-12-30 |
| 1487126678 | Anna Desiree Davis | Physical Therapist | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2018-12-28 |
| 1750853958 | Jessica Lynn Pilgrim | Physical Therapy Assistant | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2018-12-28 |
| 1164994356 | Simon Lee-feuillet | Physical Therapy Assistant | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2018-12-28 |
| 1518434836 | Lydia Abad | Occupational Therapy Assistant | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3108 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902038672 | Colonial Senior Living of Western Pa LLC | Skilled Nursing Facility | 19713 Spring Creek Rd, Hagerstown, MD 21742-2534 | 2009-08-14 |
| 1952358764 | Beverly Enterprises - Maryland, Inc. | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2006-05-27 |
| 1164477089 | Avalon Home, Inc. | Skilled Nursing Facility | 14014 Marsh Pike, Hagerstown, MD 21742-1638 | 2006-05-23 |
| 1962453506 | Julia Manor LLC | Skilled Nursing Facility | 333 Mill St, Hagerstown, MD 21740-6473 | 2006-05-15 |
| 1861459430 | Diakon Lutheran Senior Living - Maryland LLC | Skilled Nursing Facility | 1183 Luther Dr, Hagerstown, MD 21740-7407 | 2006-04-27 |
| 1487174298 | Wye Oak Healthcare of Hagerstown, LLC | Skilled Nursing Facility | 14014 Marsh Pike, Hagerstown, MD 21742-1638 | 2017-06-22 |
| 1235660614 | Dual Leasing Co., LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2017-03-27 |
| 1285175778 | Dual Leasing Co., LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2017-03-16 |
| 1780139840 | Hagerstown Health Care LLC | Skilled Nursing Facility | 333 Mill St, Hagerstown, MD 21740-6473 | 2016-08-18 |
| 1053866277 | Hagerstown Dual Care LLC | Skilled Nursing Facility | 750 Dual Hwy, Hagerstown, MD 21740-5909 | 2016-08-17 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.